Thursday, August 28, 2014

Forever Young - Pete Seeger at 91

As I grow older, I find it so refreshing to be around my grandchildren.  It's their idealism mixed with innocence and craziness that attracts me and carries me back many years.  Also, I find it exciting and pleasing when my contemporaries "act young" - being willing to overlook their health complaints, to try new adventures, to volunteer, to connect with others, to sing and to dance.

All this reminds me of  Bob Dylan's song, "Forever Young".  Also when Steve Jobs died, Norah Jones played this song in tribute.


But my all time favorite version of "Forever Young" is the 91 year old Pete Seeger voicing this song with the Rivertown Children's Choir from Beacon, NY - Pete's home town along the Hudson River.  Pete couldn't really sing at that age, so a voice-over with the children's choir was professionally produced with amazing video and sound mixing.

He died peacefully on January 27, 2014, at the age of 94.  He was chopping wood until 10 days before his death.  According to Wikipedia, "When asked about his religious or spiritual views, Seeger replied: 'I feel most spiritual when I’m out in the woods. I feel part of nature.  Or looking up at the stars. [I used to say] I was an atheist. Now I say, it’s all according to your definition of God. According to my definition of God, I’m not an atheist. Because I think God is everything. Whenever I open my eyes I’m looking at God. Whenever I’m listening to something I’m listening to God.'"

May Pete's charm, enthusiasm, and music keep us all forever young.


Sunday, August 3, 2014

Medical Ethics - Paternalism vs Autonomy

I was taught in medical school (some 50 years ago) that doctors had a special duty to protect the patient.  That seemed self evident and logical.  "Do no harm" was a first principle dating back to Hippocrates. However the teaching I received extended the concept to also protect the patient from bad news, and to make "the right" decision for them - not necessarily including them in the conversation or decision making because "it would be too hard on them.".

"Students, you should never tell a patient of the diagnosis of cancer," pontificated our chief of surgery.  "You should protect them and not give them a fatal diagnosis.  Do not tell them that the cancer has progressed, but do let a trusted family member know."

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